BRUCE ILARD DODT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****25

License Status

ACTIVE

Business

Title

First Name

BRUCE

Middle

ILARD

Last Name

DODT

Business Name

BRUCE ILARD DODT MD

Original Issue Date

01/01/1997

Effective Date

05/22/2023

Expiration Date

07/31/2026

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/22/2023